Individual
KATHLEEN ANN MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5160 OCEAN HWY W, SHALLOTTE, NC 28470-4012
(910) 332-3800
(910) 251-0421
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(910) 332-3800
(910) 251-0421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR01143200
NJ
225X00000X
Occupational Therapist
Primary
8116
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8116
OT LICENSE
NC
Enumeration date
05/09/2016
Last updated
06/13/2024
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